The use of soft tissue diode laser in the treatment of oral hyper pigmentation.

Mahitab M Soliman,Ammar Al Shammrani,Youssef Al Thomali

doi:10.12816/0006079

Mahitab M Soliman, Ammar Al Shammrani + Show 1 more

Open Access

https://doi.org/10.12816/0006079

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Abstract

To evaluate the clinical effectiveness and patients' acceptance of soft tissue diode laser, for the elimination of hyper pigmented areas of the gingivae and buccal mucosa. Twenty patients complaining of dark localized areas in their gingivae of upper and lower jaws, or in cheek mucosa were included in this study. All are females ages ranged from 18-37 with average of 27.5 years. The patients were all not pregnant, and free from any systemic diseases, and had no other areas of hyperpigmentation. Most of the patients (18 Pts.) required two treatment sessions to remove the melanotic lesions satisfactorily. The patients were seen after one, two, and three weeks respectively. Eight patients (40%) had a good response after one week, Ten patients (50%) had a very good response after two weeks, while only two patients (10%) had a bad result and required a third treatment session after two weeks. At the third week postoperatively in the successful cases, restoration of the normal gingival and mucosal texture and color was achieved with optimal esthetic results. Most of the patients had no postoperative discomfort including: pain, edema and disfigurement. The soft tissue diode laser can be considered as a reliable mean for elimination of melanotic lesions of the gingivae or buccal mucosa, and is well tolerated by the patients.

Highlights

No patients had marked complications, and infection did not occur during the healing of the gingivae
The Visual Analogue Scale (VAS) score is determined by measuring in millimeters from the left hand end of the line to the point that the patient marks
Regarding edema: It was measured by a graduated tape [14] it was not seen in most of the patients at the first week, only two patients(10%) presented with slight edema in the attached gingiva at the mucogingival junction, which disappeared completely at the 2ndweek

Summary

Methods

Twenty patients complaining of unsightly hyper pigmented areas in their gingivae, labial and cheek mucosa were included in this study, especially those patients with gummy smile (very high gum line). The patients were all females, their ages ranged from 18-37 with average of 27.5 years, from those attending the Outpatient Dental Clinic of Taif University Girl's branch. All patients were non pregnant, they were apparently healthy without any systemic diseases, or manifestations of other areas of hyper pigmentations, as nail pigmentation–etc. All patients were non-smokers and were not exposed to metal vapors as occupational hazards i.e. the melanotic spots were of physiological or racial nature. The procedure was explained verbally and animatedly to the patients and informed signed consents were obtained according to the World Declaration Statement of Helsinki. The procedure was explained verbally and animatedly to the patients and informed signed consents were obtained according to the World Declaration Statement of Helsinki. [12]

Results

Discussion

Conclusion